Associate Contract Specialist - Full-time / Part-time

The Associate Contract Specialist, under the direction of the Manager, Provider Network Management, is responsible for coordinating the contractual and operational implementation of network provider contracts in conjunction with internal departments, for hospitals, physician organizations, and medical groups. Coordinate maintenance of provider information changes.  

The position requires a minimum of 2 –3 years in a managed health care environment with knowledge of the health care market and the needs/concerns of health care providers. 

 Key Responsibilities: 

Essential functions occur simultaneously. The Associate Contract Specialist must be able to appropriately handle each essential function, prioritize them with minimal direction, and seek assistance when necessary. These functions need to be performed on a consistent and regular basis, using good judgment. 

Essential Functions 

• Assist with activities related to contract implementation for all Commercial, Senior Products, and Public Plans products.  
• Coordinate information collection and dissemination for new and established network providers, including appropriate provider database and set-up forms. Coordinate maintenance of provider information changes for hospitals, physician organizations, and medical groups. 
• Serve as a contact to resolve rate configuration issues as appropriate. Work with department resources to ensure that issues are clearly articulated, documented, and prioritized. Communicate estimated turnaround times to facilitate resolution internally. 
• Participate in cross-functional meetings as required; initiate and participate in department projects as necessary. 

 Knowledge, Skills and Abilities: 

Education

• This position requires a bachelor’s degree and 2-3 years’ work experience. 

Experience

• Previous experience in managed health care, credentialing or other health care environments is highly desirable. Experience and familiarity with provider agreements and contracts is strongly preferred.  

Skills

• Must be highly motivated individual with excellent organizational skills to manage large volumes of information and multiple assignments; attention to detail is key.
• Requires the ability to understand all aspects of a contract: financial and operational with emphasis on implementation of contract terms.
• Possess strong customer focus and expertise in setting and managing customer expectations.
• Requires the ability to understand different health plan’s product lines, and the unique operational and financial features associated with each of these products.
• The role requires initiative, sound judgment, and the ability to work independently on multiple priorities in a constantly changing environment.
• Requires the ability to learn and apply Poinr32Health’s policies consistently and seek out guidance when necessary. Strong experience with Excel is a plus.  

Communication.

• Excellent interpersonal skills are necessary to develop strong working relationships with internal contacts. Requires excellent oral and written communication skills as well as the ability to coordinate efforts amongst various departments at Point32Health; must be able to work cooperatively and collaboratively as a team member. 

Confidential Data: 

All information (written, verbal, electronic, etc.) that an employee encounters while working at Point32Health is considered confidential. Strict confidentiality is required for all clinical information that one encounters and works with as part of the job. Requires a high degree of confidentiality regarding the financial and provisions associated with contractual agreements as well as Point32Health’s initiatives, strategies, and products related contract development.  

Additional Requirement (Travel, Weekend Hours): 

• Hybrid (in Canton, MA) or Remote (Work from Home) options available for position. 

Commitment to Diversity, Equity & Inclusion

Point32Health is committed to making diversity, equity, and inclusion part of everything we do—from product design to the workforce driving that innovation. Our DEI strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

COVID Policy

Please note: As of January 18, 2022, all employees — including remote employees — must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.

About the Company

Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities.

This job has been posted by TalentBoost on behalf of Point32Health. TalentBoost is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of TalentBoost not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.

Req ID: R5367